MEDICARE: MS. ELIZABETH GARCIA CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	209005259	IL

General Provider Information

NPI Number	:	1164524195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH GARCIA CNM

Provider Business Mailing Address
First Line	:	2650 RIDGE AVE STE 1223
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60201-1700
Country	:	US
Telephone Number	:	847-570-2040
Fax Number	:	847-733-5315

Provider Business Practice Location Address
First Line	:	810 BIESTERFIELD ROAD
Second Line	:	SUITE 306 - WIMMER BUILDING
City	:	ELK GROVE VILLAGE
State	:	IL
Zip	:	60007-3378
Country	:	US
Telephone Number	:	847-357-1144
Fax Number	:	847-357-9449

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	12/02/2025

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